We have a Pacimal for our 1 year old, and now for our newborn. The best thing about using it with the newborn is that your can gently wrap it up in the swaddler and not have to get up during the night to reposition the pacifier.
The adapter is great as it allows you to move from the Orthodontic pacifier to store bought pacifiers.

I think this is a great idea. My grandaughter uses the othodontic pacifiers and the fact that it can be adapted to fit her pacimal is terrific. The pacimals are one of the best ideas ever. I will give them to the new moms in my life from now on.